I normally post current studies but this one from 2000 grabbed me as so many Lyme/MSIDS patients suffer with panic attacks, anxiety, and PTSD.  It’s also interesting to note that this symptom completely abated with appropriate “intensive doses of appropriate antimicrobial meds.”  This of course reveals the unrecognized fact that patients are often contending with far more than just Lyme (borrelia) and require different medications.  It also reveals that there can be an underlying infectious cause to things doctors consider to be psychological.  Lyme/MSIDS patients are often misdiagnosed as having mental disorders and are given drugs that actually suppress their immune systems further and allow the pathogens a perfect opportunity to worsen.  All the doxy in the world isn’t going to touch Babesia which requires anti-malarial drugs.  Please read my comment at the end of the Abstract.



Panic attacks may reveal previously unsuspected chronic disseminated lyme disease.

Sherr VT. J Psychiatr Pract. 2000.


The author describes the histories of three patients with panic-like episodes that turned out to be related to underlying, previously unsuspected tick-borne diseases. Each woman experienced symptoms that are not usual in panic disorder but are typical of neurological Lyme disease, including exquisite sensitivity to light, touch, and sounds, joint pain often in combination with cognitive changes including mental fogginess and loss of recent memory, and some degree of bizarre, shifting, and often excruciating neurological pain. Because these symptoms are atypical of primary panic disorder, they were very helpful in alerting the clinician to suspect an underlying physical illness. In each case, the results of testing revealed positive hallmarks of disseminated Lyme and other tick-borne diseases, including Lyme borreliosis caused by the spirochete, Borrelia burgdorferi, babesiosis, and ehrlichiosis.

Since beginning treatment with intensive doses of appropriate antimicrobial medications for their tick-borne infections, all three patients have become free of panic attacks. Treatment of their infections by a specialist in Lyme disease allowed one of the women to discontinue anti-anxiety medication completely and another to reduce the dose of medication to occasional use only. The third patient is no longer anxious but her depression is resolving more slowly despite the ongoing use of an antidepressant. Two of the patients have also needed ongoing medication for pain and other symptoms of late-stage, neurological Lyme disease.


Since testing is so abysmal, it is far more helpful to print out and check off symptom lists.  Take these lists with you to your doctor appointments:


https://madisonarealymesupportgroup.com/2011/09/25/the-babesia-checklist-copyrighted-2011-james-schaller-md-mar-version-20/ (Circle symptoms you have)

https://madisonarealymesupportgroup.com/2011/09/25/the-bartonella-checklist-copyrighted-2011-james-schaller-md-version-11/ (Circle symptoms you have)

https://madisonarealymesupportgroup.com/2016/02/07/mycoplasma-treatment/  Read up on Mycoplasma as it is often a player and requires thoughtful treatment.

Treatment for Ehrlichiosis is fairly straight forward with doxycycline and normally that is a front-line med LLMD’s use for Lyme, so the good news is that you will lower the Lyme infection & deal with Ehrlichiosis at the same time.  The caveat for Lyme is the fact it is pleomorphic and requires far more than just doxy.  Please read this to understand the nuances of treating borrelia (Lyme):  https://madisonarealymesupportgroup.com/2016/02/13/lyme-disease-treatment/



https://madisonarealymesupportgroup.com/2015/10/18/psychiatric-lymemsids/  The symptoms that can and often are a part of the Lyme/MSIDS picture are unbelievable and thankfully more and more is coming out on how devastating this illness is mentally.  I highly encourage you to get to a local support group to be around folks who understand.  Having camaraderie during this dark valley can be extremely helpful.  https://rawlsmd.com/lyme-support?


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